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General NPI Number Information
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NPI Number | 1033759980
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Entity Type | Individual
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Provider Name | BRIAN JOSEPH FERRACCIO PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 204 5TH AVE. SUITE 402
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City | PITTSBURGH
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State | PA
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Zip | 15222
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Country | US
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Telephone | 724-244-5763
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Fax |
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Provider Business Mailing Address
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Address Line | 330 EVERGREEN CT
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City | APOLLO
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State | PA
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Zip | 15613-1269
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Country | US
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Telephone | 724-244-5763
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS018964
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License Number State | PA
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